Foot Factor Podiatry LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

FOOT FACTOR PODIATRY LLC

Practice address

6125 Green Bay Rd Ste 600
Kenosha, WI 53142-2928

Phone

(877) 287-1962

Fax

(877) 287-1962

NPI assigned

Jun 20, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Donna J Hayes, DPM

Title

Owner/Ceo

Phone

(877) 297-1962

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18758/brand/14/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1124688114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 CAMBRIDGE LN UNIT 2",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534062889",
            "telephone_number": "312-720-8410",
            "fax_number": "877-287-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 GREEN BAY RD STE 600",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422928",
            "telephone_number": "877-287-1962",
            "fax_number": "877-287-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT FACTOR PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "877-297-1962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy L Foerster, DC
• Aaron Tyler Follansbee, MD
• Jill Marie Fonk, MS, OTR/L
• Patricia Eleanor Fons
• Foot & Ankle Health Care SC
• Forefront Dermatology, S.C.
• Forefront Dermatology, S.C.
• Forefront Dermatology, S.C.
• Foresight Optical Inc (Kindy Sterling Optical)
• Imelda N Forsberg, NURSE PRACTITIONER

• Foot & Ankle Surgery Podiatrist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Foot & Ankle Surgery Podiatrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.